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________
From:
________
________
To:
________
________
Infringement / Notice Number: ________
Vehicle Registration Number: ________
Date of Alleged Contravention: ________
Location of Alleged Contravention: ________
WITHOUT PREJUDICE SAVE AS TO COSTS
Dear Sir/Madam,
Re: Formal Dispute and Request for Internal Review of Parking Infringement Notice
1. On ________ you issued to me a parking infringement notice in the amount of ________ in respect of the above vehicle (\
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